| Christopher D. Justofin,d.o.,p.c. | |
|
106 Rotary Dr W Hazleton PA 18202-1182 | |
| (570) 455-2286 | |
| (570) 455-2336 |
| Full Name | Christopher D. Justofin,d.o.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Rotary Dr, W Hazleton, Pennsylvania |
| Authorized Official Name and Position | Kelly O Justofin (OFFICE MANAGER) |
| Authorized Official Contact | 5704552286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher D. Justofin,d.o.,p.c. 106 Rotary Dr W Hazleton PA 18202-1182 Ph: (570) 455-2286 | Christopher D. Justofin,d.o.,p.c. 106 Rotary Dr W Hazleton PA 18202-1182 Ph: (570) 455-2286 |
| NPI Number | 1659426948 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 12/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659426948 | NPI | - | NPPES |
| JU866998 | Other | PA | PA BLUE SHIELD I.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS008405L (Pennsylvania) | Primary |